2019 Old Exam

Question 1

All preganglionic autonomic releases

Answer 1

ACH

Question 2

Postganglionic parasympathetic releases

Answer 2

ACH

Question 3

Postganglionic sympathetic releases

Answer 3

NE

Question 4

If you have dry mouth, what receptor do you want to target

Answer 4

M3

Question 5

Which of the following drugs has the greatest risk of causing orthostatic hypotension?

Answer 5

Terazosin

Question 6

Which of the following drugs has anticholinergic side effects such as dry mouth

Answer 6

Lidocaine

Question 7

What part of the EKG is ventricular repolarization

Answer 7

T wave

Question 8

Irreversible indirect acting cholinergic

Answer 8

Sarin

Question 9

Regeneration of AchE

Answer 9

Pralidoxidine

Question 10

First line agent for someone that has been exposed to nerve gas

Answer 10

Pralidoxidine

Question 11

What would not be fixed by atropine

Answer 11

paralysis

because it only works on muscarinic and not on nictoinic

Question 12

Quaternary amine

Answer 12

Glycopyrrolate

used to dry secretions, quaternary amine

Question 13

What would a pt not have if having cholinergic toxicity

Answer 13

Dry mouth

Question 14

Depolarizing neuromuscular blocker

Answer 14

Succinylcholine

Question 15

Which relieves angina without changing HR or BP

Answer 15

Ranolazine

Question 16

Which one increases intracellular cGMP

Answer 16

Isosorbide mononitrate

used for angina and HF, it is the one that increases intracellular cGMP

Question 17

What breaks down Ach in the blood

Answer 17

AchE

Question 18

Which alpha agonist ( i think it is supposed to be anatagonist) causes orthostatic __

Answer 18

Alpha one; hypotension

Question 19

Which of the following does beta 1 NOT do

Answer 19

Bronchodilation

Question 20

Which of the following does beta 2 do

Answer 20

Bronchodilation

Question 21

KNOW THE ALPHA ONE EFFECTs

Answer 21

Vascoconstriction

mydriasis

urinary sphincter constriction

Increased BP

Question 22

In a pt with anaphylaxis, what do you give them

Answer 22

0.3 mg of IM EPI

Question 23

Alpha one agonist that helps with short term hypotension and nasal decongestion

Answer 23

phenylephrine

Question 24

Which is a PDE 3 inhibitor

Answer 24

Milirinone

Question 25

The L in LOT stands for

Answer 25

Lorazepam

Question 26

Short acting beta 2 agonist for asthma

Answer 26

albuterol

Question 27

What do you not use in asthmatic patients a. Aspirin, NSAIDS b. Opiates c. Antihistamines d. All of the above

Answer 27

all above

Question 28

Aspirin and coumadin adverse effect

Answer 28

bleeding

Question 29

What beta blocker should you give an asthmatic patient

Answer 29

metaprolol (beta 1 selective)

Question 30

drug variation can be classified as idosyncratic, pharmacokinetic or

Answer 30

pharmacodynamic

Question 31

Different outcomes with same concentration and same outcome with different concentrations for drug variation

Answer 31

true

Question 32

Lipid distribution increases as you age because of

Answer 32

increased body fat

Question 33

What phase of metabolism is not prone to aging

Answer 33

2

Question 34

In pregnancy patients, they have increased CO and __ GFR and __ RBF

Answer 34

increased, increased

Question 35

Non-covalent modification is depletion of glutathione. What does this do?

Answer 35

disrupts the cell defense

Question 36

Anti-epileptic that causes gingival hyperplasia

Answer 36

phenytoin

Question 37

How many mutations do you have to have for malignancy?

Answer 37

more than 1

Question 38

Teratogens are detrimental and cause cell division issues during

Answer 38

blastocyte formation

Question 39

Phase III is caused by

Answer 39

K+ movement

Question 40

Product of CO

Answer 40

sv x hr

Question 41

What class does Na+ fall under

Answer 41

class I

Question 42

Class IV are selective for myocardium

Answer 42

nondihydropyridine

Question 43

What drug causes dry mouth

Answer 43

disopyramides

Question 44

What drug inhibits the Na/K ATPase

Answer 44

digoxin

Question 45

Which one is not a part of acute coronary syndromes a. Stable ischemic heart disease b. STEMI c. NSTEMI d. Unstable

Answer 45

stable ischemic heart disease

Question 46

More than 100 bpm is classified as

Answer 46

tachycardic

Question 47

Allergic reactions are often dose independent and not related to the drug’s MOA

Answer 47

true

Question 48

When someone an adverse effect to a drug how do you fix it?

Answer 48

dose redcuction

Question 49

A drug that inhibits gastic emptying

Answer 49

slows absorption

Question 50

Which of the following are endogenous catecholamines

Answer 50

NE, epi, dopamine

Question 51

Epinephrine is produced by the adrenal medulla and is released directly into the bloodstream. This makes epi a

Answer 51

hormone